[Obstructive anuria in children. Apropos of 22 cases].
The authors report twenty-two cases of obstructive anuria observed in children. Causes were diverse: 6 cases were observed during the course of tumors, 4 cases were secondary to bilateral renal stones (or unilateral in a single kidney), 3 cases were observed before surgical correction of latent or well tolerated congenital uropathy, and 9 cases occurred immediately after an operation (including 8 after antireflux surgery). Emergency treatment of obstructive anuria is based on urinary diversion, ideally by percutaneous nephrostomy under ultrasonic control. However, prevention is the best treatment of anuria: treatment of urinary tract infections resulting in renal stones, ultrasonographic monitoring for chronic proximal urinary tract dilatation in tumors: rigorous atraumatic operative technique avoiding oedema.
Grapin
C
C
Service de Chirurgie Viscérale Pédiatrique Hôpital, Trousseau, Paris.
Géraud
M
M
Audry
G
G
Bruezière
J
J
Gruner
M
M
D000293:Adolescent; D000714:Anastomosis, Surgical / Q000009:adverse effects; D001002:Anuria / Q000209:etiology*; D002648:Child; D002675:Child, Preschool; D005260:Female; D006801:Humans; D006869:Hydronephrosis / Q000150:complications; D007223:Infant; D007231:Infant, Newborn; D007669:Kidney Calculi / Q000150:complications; D008297:Male; D010386:Pelvic Neoplasms / Q000150:complications; D011183:Postoperative Complications; D014513:Ureter / Q000601:surgery; D014514:Ureteral Calculi / Q000150:complications
Anurie obstructive chez l'enfant. A propos de vingt-deux cas.